Heritage Victor Valley Medical Group
NPI 1649506759 · Non-Pharmacy Dispensing Site · Victorville, CA
Heritage Victor Valley Medical Group is a Non-Pharmacy Dispensing Site organization in Victorville, CA (NPI 1649506759).
Provider details
- NPI number
- 1649506759
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc.
- Organization subpart
- Yes
- Authorized official
- Kenny Heine, Vp of Operations(858) 625-2990
- License
- 54968 (CA)
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-10-23
- Last updated
- 2015-11-30
Frequently asked questions
- What is Heritage Victor Valley Medical Group's NPI number?
- Heritage Victor Valley Medical Group's National Provider Identifier (NPI) is 1649506759, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Heritage Victor Valley Medical Group?
- Heritage Victor Valley Medical Group is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Heritage Victor Valley Medical Group located?
- Heritage Victor Valley Medical Group's practice location on file with NPPES is 12408 Hesperia Rd, Victorville, CA 92395-7718.
- What is Heritage Victor Valley Medical Group's phone number?
- The practice phone number listed in the NPPES registry for Heritage Victor Valley Medical Group is (760) 245-4747.
- Who is the authorized official for Heritage Victor Valley Medical Group?
- The authorized official listed on Heritage Victor Valley Medical Group's NPPES record is Kenny Heine, Vp of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Heritage Victor Valley Medical Group's NPI active?
- Yes — Heritage Victor Valley Medical Group's NPI (1649506759) is active in the NPPES registry as of the last update on 2015-11-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.